Individual
TRENT DITTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3854 E 120TH AVE, THORNTON, CO 80233-1608
(720) 388-0439
Mailing address
3854 E 120TH AVE, THORNTON, CO 80233-1608
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
02/06/2023
Last updated
02/06/2023
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